| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.47 | $141.72 | $255.59 | |
Cigna
| Professional | $107.59 | $156.75 | $414.01 | |
MVP Health Care
| Professional | $132.63 | $186.57 | $414.01 | |
United
| Professional | $165.78 | $203.20 | $327.73 |